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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service within the insurance sector, focusing on health and dental products, while utilizing analytical skills to prepare reports and identify process improvements. Proficient in managing client interactions through various channels and ensuring compliance with ANS regulations.
Highest-signal resume keywords
Customer ServiceInsurance Sector ExperienceExcel ProficiencyProcess ImprovementANS Regulations Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Customer FocusProfessionalismCollaborationInnovationOrganizationResilienceLogical ReasoningAssertive Communication
Industry Keywords
Health ProductsDental ProductsReimbursement RequestsMarket StudiesClaims IndicatorsPolicy ResultsContinuous ImprovementClient NeedsCoverage ProceduresQuantitative Analysis
About the role
Key responsibilities & impact- Provide service to a portfolio of medium-complexity clients through in-person, telephone and/or digital channels, ensuring each client is attended to according to their needs in an agile and accurate manner.
- Deliver attentive customer service grounded in dialogue and an understanding of client needs, in order to clarify doubts and provide necessary information regarding coverage procedures for insurable and non-insurable benefits.
- Support clients with reimbursement requests and pre-authorization for reimbursements via in-person, telephone and/or digital channels, to ensure effective reimbursement of expenses incurred for care received outside the contracted provider network.
- Carry out the necessary procedures to conduct market studies by collecting the data and information required to complete quotation forms, in order to identify the best terms and options for the client within the renewal timeframe.
- Prepare reports and/or presentations on claims indicators (loss ratio) by organizing data, information and quantitative and qualitative analyses to provide clients with their policy results.
- Identify opportunities for improvement by mapping processes, procedures and workflows during execution, in order to suggest actions that enable continuous improvement in customer service.
- Perform other related duties inherent to the role as required by the area, through training, professional qualification and guidance from the immediate supervisor, to ensure continuous professional development.
Requirements
What you’ll need- Bachelor's degree in Business Administration, Human Resources Management or a related field
- Intermediate knowledge of Excel
- Experience in the insurance sector with health and dental products and knowledge of current ANS regulations (National Supplementary Health Agency)
- Customer focus, professionalism, collaboration, innovation, organization, resilience, logical reasoning and assertive communication skills
Benefits
Comp & perks- Temporary contract | Maternity leave coverage
